Medicare HMOs: HCFA can promptly eliminate hundreds of millions in excess payments : report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives
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The RTM Factor for Category III Enrollees
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AAPCC Adjustments for Regression aggregate excess payments average cost beneficiaries enrolled beneficiaries in ffs calculations capita cost capitation rate category II enrollees cost data cost estimates cost ratios Costs in Estimating costs of beneficiaries costs of ffs costs of hmo County Average county rate county-rate excess payments county's Death-Related Costs demographic characteristics demographic group enrolled in hmos Estimates of Medicare Estimating Excess Payments excess payment amounts expected ffs costs favorable selection FFS and HMO hcfa hcfa's method Health and Human health costs health maintenance organizations health status hmo enrollment Human Services increase join an HMO managed care plans Mean and Death-Related Medicare beneficiaries Medicare Excess Payments Medicare HMOs Medicare's payment rates payments to hmos Payments to Medicare percent percentage prior-use costs Proxy FFS Proxy HMO Joiners remain in ffs risk adjustment risk contract HMO risk contract program risk HMO enrollees RTM Factor rtmf SACHM0 Table weighted average